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Individual

VANESSA ELKISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5611 E MISSION WAY, LOS ANGELES, CA 90040-1543
(323) 646-9723
Mailing address
5611 E MISSION WAY, LOS ANGELES, CA 90040-1543
(323) 646-9723

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
05/15/2012
Last updated
05/15/2012
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